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l' <br />( c9'~+-~- S G rt 1 <br />III IIIIIIIIIIIIIIII Date Received:/D% //'DD <br />999 <br />MINERALS PROGRAM <br />Project Management Assignment Shee[ <br />~- Lead Specialist: Date: ~~ l?`/lod <br />Project Title: ([~.~Q~~^t7QLo) S~l~Sr~it/,rX~Y~~° .~ ~t~a5r /~ County: ~C l~rln~~- <br />(If apermit action, permit no. fvst, [hen operation name. f "OTHER" project, first 6 letters of project title.) Must be a unique <br />set of letters or numbers. ~~~~ / ~ /.--~`~ <br />Permit Type: NOI 110(1) C IIO~v(2) Y' I10(c) Ill ll2 112c <br />Permit Ac[ion: New(N W) Warranty Reduc[ion(SR) Transfer(SO) <br />Amendment(AM) <br />Technical Revision(TR) <br />Conversion(CN) <br />Warranty Release(SL) <br />Acreage Release(AR) <br />Surety Forfeiture(SF) <br />Temporary Cessation(TC) <br />II legal(IL) <br />File Review <br />Inspections: Aerial (AE) Complaint (CI) FWR (Fi) Monitoring (MI) Pre-operation (PI) <br />Due Date:fL/_[Q/~ Project Priority : A ~ ~ C Completed on:_/_/ <br />/~~ - <br />~t <br />ENTEF <br />1~r <br />,Yl~e <br />.. <br />DIVISIONS APPLICATION DECiS[O <br />DMG DATE STAMP: / D i <br />RECEP/ED:(Deternined by Prog. Asst)_ <br />(Formally known as complete or filed) <br />DIVISION'S DECISION DUE: <br />(Determined by Specialist) <br />q~~~~ ~ ~~ <br />/~ ~ ,, ~ ~ ~J I J, <br />i iy^i' NN ~• ti~ <br />11 ~'' 0 1 1 V ~'~'~•~-• V'n~JJ•1 r ~1~ 1~ y)~ <br />//~ t- <br />r,,,~. k,~ ~~ <br /> <br />C:V.1Y DOCl7MEMStFORMS~PROlA551GN2.DOC <br />